# PEAK REHABILITATION AND SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609073741
- **Authorized official:** MR. BARTLEY BRETT MORTENSEN MS, PT, ATC (PRESIDENT)
- **Authorized official phone:** (801) 568-0240

## Contact information

- **Practice address:** 6782 S 1300 E, SALT LAKE CITY, UT 84121-2719
- **Practice address phone:** (801) 568-0240
- **Practice address fax:** (801) 568-9336
- **Mailing address:** 6782 S 1300 E, SALT LAKE CITY, UT 84121-2719
- **Mailing address phone:** (801) 568-0240
- **Mailing address fax:** (801) 568-9336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 6262252-2401 | UT | Yes |
| 2251E1200X | Ergonomics Physical Therapist | 5571167-2401 | UT | — |
| 2251S0007X | Sports Physical Therapist | 5132199-2401 | UT | — |
| 2251X0800X | Orthopedic Physical Therapist | 5132199-2401 | UT | — |
| 2251X0800X | Orthopedic Physical Therapist | 5571167-2401 | UT | — |
| 2251X0800X | Orthopedic Physical Therapist | 6262252-2401 | UT | — |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 09/11/2025